All patients were administered antibiotics (Cap. Amoxicillin 500 mg tid for 5 days) and anti-inflammatory medicine (tab Diclofenac sodium bid for 3 days). Sutures were removed after seven days. Chlorhexidine mouthwash was administered twice daily for four weeks. The patients were evaluated in the first and third months following first stage surgery. Later, 6 months, and followed up for 6 years at 12-month intervals. Standardized IOPAs with an x-ray mesh were used to evaluate marginal bone levels and peri-implant radiolucency [Table/Fig-6,Table/ Fig 7a].

The second surgical surgery was conducted three months following the first. The implant was exposed using a biopsy punch to remove the cover screw and insert the gingival healing cap. Carl A Misch examined implant movement using the clinical implant mobility scale [2]. After two weeks of healing abutment implantation, implants were recovered with a metal-ceramic single crown prosthesis [Table/Fig-7b]. Patients were evaluated for implant movement, marginal bone loss, and peri-implant radiolucency at the first and third months after crown cementation. [Table/Fig-8] After three months of loading, the implant mobility was evaluated using the PERIOTEST [Table/Figure-9]. Standard William's periodontal probes were used to measure bleeding and probing depth. All patients were subjected to an individually adjusted recall program during the first and third months after implant and prosthesis insertion, respectively. The initial follow-up period lasted six months after the implant was placed. Later, patients were examined every year for six years to measure the implant's effectiveness rate [Table/Fig-10].

Summarize

Implant Surgery and Follow-Up

• Patients received antibiotics and anti-inflammatory medicine.
• Sutures were removed after seven days.
• Chlorhexidine mouthwash was administered twice daily for four weeks.
• Patients were evaluated in the first and third months, six months later, and six years later.
• Standardized IOPAs with an x-ray mesh were used to evaluate marginal bone levels and peri-implant radiolucency.
• Implants were recovered with a metal-ceramic single crown prosthesis after two weeks of healing abutment implantation.
• Patients were evaluated for implant movement, marginal bone loss, and peri-implant radiolucency at the first and third months after crown cementation.
• Implant mobility was evaluated using the PERIOTEST after three months of loading.
• Patients were subjected to an individually adjusted recall program during the first and third months after implant and prosthesis insertion.